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巴西肾脏病学会行为准则:一项生命伦理学分析。

The Brazilian Society of Nephrology Code of Conduct: a bioethical analysis.

机构信息

Fundação de Ensino e Pesquisa em Ciências da Saúde, Escola Superior de Ciências da Saúde, Departamento de Graduação em Medicina, Brasília, DF, Brasil.

Pontifícia Universidade Católica de São Paulo, Faculdade de Ciências Médicas e da Saúde, Departamento de Medicina, Programa Mestrado Profissional em Educação nas Profissões de Saúde, Sorocaba, SP, Brasil.

出版信息

J Bras Nefrol. 2022 Apr-Jun;44(2):244-248. doi: 10.1590/2175-8239-JBN-2021-0061.

DOI:10.1590/2175-8239-JBN-2021-0061
PMID:34280253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9269189/
Abstract

INTRODUCTION

Professional deontology can be defined as a set of principles, values and rules of conduct to be applied in the exercise of functions and inherent to a given profession. Nephrology was one of the medical specialties most affected by the mismatch between the accelerated technological development and the ethical dilemmas resulting from it. Recently, the Brazilian Society of Nephrology (SBN) edited its code of conduct, which until then did not exist.

METHOD

Qualitative study with content analysis of the chapters and articles of the SBN Code of Conduct, from the perspective of principlism bioethics.

RESULTS

The four moral principles of beneficence, non-maleficence, autonomy and justice were found asymmetrically throughout the document, with beneficence predominating over the others.

DISCUSSION

The SBN Code of Conduct predominantly expresses the ethical duties that an associate must comply with, but also restrictions on malfeasance, autonomy and justice, anchoring decision-making by managers and including the distribution of possible punishments. It is an unfinished document; therefore, it must be periodically revised, as expected, due to the rapid technological changes, as well as the need for constructive moderation in the relations of nephrologists with each other and, between them, with the Industry, as well as all the ethical consequences arising from these factors.

摘要

简介

专业伦理可以被定义为一套在行使特定职业所固有的职能时适用的原则、价值观和行为准则。肾脏病学是受技术快速发展与由此产生的伦理困境之间不匹配影响最大的医学专业之一。最近,巴西肾脏病学会(SBN)编辑了其行为准则,而在此之前该准则并不存在。

方法

对 SBN 行为准则的章节和条款进行内容分析的定性研究,从生命伦理原则的角度出发。

结果

在整个文件中,四个道德原则——善行、不伤害、自主和公正——被发现是不对称的,善行原则凌驾于其他原则之上。

讨论

SBN 行为准则主要表达了协会成员必须遵守的道德义务,但也限制了不当行为、自主性和公正性,为管理者的决策提供依据,并包括可能的惩罚分配。这是一份未完成的文件;因此,正如预期的那样,由于技术的快速变化,以及肾脏病学家之间以及他们与行业之间关系的建设性调和的需要,以及这些因素产生的所有伦理后果,它必须定期修订。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6442/9269189/b3fe32365300/2175-8239-jbn-2021-0061-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6442/9269189/b3fe32365300/2175-8239-jbn-2021-0061-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6442/9269189/b3fe32365300/2175-8239-jbn-2021-0061-gf01.jpg

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Differences and inequalities in relation to access to renal replacement therapy in the BRICS countries.金砖国家在获得肾脏替代治疗方面的差异与不平等。
Cien Saude Colet. 2017 Jul;22(7):2175-2185. doi: 10.1590/1413-81232017227.00662017.
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Conflicts of Interest and Professional Medical Associations: Progress and Remaining Challenges.
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Contact between doctors and the pharmaceutical industry, their perceptions, and the effects on prescribing habits.医生与制药行业之间的联系、他们的看法以及对处方习惯的影响。
PLoS One. 2014 Oct 16;9(10):e110130. doi: 10.1371/journal.pone.0110130. eCollection 2014.